Concomitant Guillain–Barré Syndrome in a young Sri Lankan male with severe ulcerative colitis

Abstract Background Guillain–Barré Syndrome is an immune mediated polyneuropathy. Ulcerative Colitis is an immune mediated chronic inflammatory condition mainly of the large intestine. Guillain–Barré Syndrome can present as a rare extraintestinal manifestation of Ulcerative Colitis when in remission...

Full description

Bibliographic Details
Main Authors: Jayasundara Mudiyanselage Hishali Dahami Jayasundara, Vajira Tharanga Samarawickrama, Ranjith Peiris, Tilan Aponso, Danushi Abeynayake
Format: Article
Language:English
Published: BMC 2022-09-01
Series:BMC Gastroenterology
Subjects:
Online Access:https://doi.org/10.1186/s12876-022-02455-y
_version_ 1818064835009576960
author Jayasundara Mudiyanselage Hishali Dahami Jayasundara
Vajira Tharanga Samarawickrama
Ranjith Peiris
Tilan Aponso
Danushi Abeynayake
author_facet Jayasundara Mudiyanselage Hishali Dahami Jayasundara
Vajira Tharanga Samarawickrama
Ranjith Peiris
Tilan Aponso
Danushi Abeynayake
author_sort Jayasundara Mudiyanselage Hishali Dahami Jayasundara
collection DOAJ
description Abstract Background Guillain–Barré Syndrome is an immune mediated polyneuropathy. Ulcerative Colitis is an immune mediated chronic inflammatory condition mainly of the large intestine. Guillain–Barré Syndrome can present as a rare extraintestinal manifestation of Ulcerative Colitis when in remission or in a relapse. However, the concomitant presentation of Guillain–Barré Syndrome during a relapse of Ulcerative Colitis is very rare and only a few cases are reported to date. Case presentation A 24 year old young male diagnosed of Ulcerative Colitis presented with bloody diarrhea of frequency more than six times a day. He had been in clinical remission even after defaulting treatment for more than a year. He had also noted difficulty in walking prior to admission to the hospital. He was managed as for a severe relapse of Ulcerative Colitis and Guillain–Barré Syndrome. Appropriate management of both the illnesses helped him to recover. Conclusion Immune mediated diseases can have rare coexisting presentations. We report a case of Ulcerative Colitis with concomitant Guillain–Barré Syndrome. It is essential to be open minded and timely, appropriate treatment led to successful management of both the illnesses.
first_indexed 2024-12-10T14:42:18Z
format Article
id doaj.art-38b81be3ba8745e2bbc615c0e0c504ac
institution Directory Open Access Journal
issn 1471-230X
language English
last_indexed 2024-12-10T14:42:18Z
publishDate 2022-09-01
publisher BMC
record_format Article
series BMC Gastroenterology
spelling doaj.art-38b81be3ba8745e2bbc615c0e0c504ac2022-12-22T01:44:40ZengBMCBMC Gastroenterology1471-230X2022-09-012211510.1186/s12876-022-02455-yConcomitant Guillain–Barré Syndrome in a young Sri Lankan male with severe ulcerative colitisJayasundara Mudiyanselage Hishali Dahami Jayasundara0Vajira Tharanga Samarawickrama1Ranjith Peiris2Tilan Aponso3Danushi Abeynayake4National Hospital of Sri LankaNational Hospital of Sri LankaNational Hospital of Sri LankaNational Hospital of Sri LankaNational Hospital of Sri LankaAbstract Background Guillain–Barré Syndrome is an immune mediated polyneuropathy. Ulcerative Colitis is an immune mediated chronic inflammatory condition mainly of the large intestine. Guillain–Barré Syndrome can present as a rare extraintestinal manifestation of Ulcerative Colitis when in remission or in a relapse. However, the concomitant presentation of Guillain–Barré Syndrome during a relapse of Ulcerative Colitis is very rare and only a few cases are reported to date. Case presentation A 24 year old young male diagnosed of Ulcerative Colitis presented with bloody diarrhea of frequency more than six times a day. He had been in clinical remission even after defaulting treatment for more than a year. He had also noted difficulty in walking prior to admission to the hospital. He was managed as for a severe relapse of Ulcerative Colitis and Guillain–Barré Syndrome. Appropriate management of both the illnesses helped him to recover. Conclusion Immune mediated diseases can have rare coexisting presentations. We report a case of Ulcerative Colitis with concomitant Guillain–Barré Syndrome. It is essential to be open minded and timely, appropriate treatment led to successful management of both the illnesses.https://doi.org/10.1186/s12876-022-02455-yUlcerative colitisGuillain–Barré SyndromeAcute Motor Axonal NeuropathyInflammatory bowel diseaseCase report
spellingShingle Jayasundara Mudiyanselage Hishali Dahami Jayasundara
Vajira Tharanga Samarawickrama
Ranjith Peiris
Tilan Aponso
Danushi Abeynayake
Concomitant Guillain–Barré Syndrome in a young Sri Lankan male with severe ulcerative colitis
BMC Gastroenterology
Ulcerative colitis
Guillain–Barré Syndrome
Acute Motor Axonal Neuropathy
Inflammatory bowel disease
Case report
title Concomitant Guillain–Barré Syndrome in a young Sri Lankan male with severe ulcerative colitis
title_full Concomitant Guillain–Barré Syndrome in a young Sri Lankan male with severe ulcerative colitis
title_fullStr Concomitant Guillain–Barré Syndrome in a young Sri Lankan male with severe ulcerative colitis
title_full_unstemmed Concomitant Guillain–Barré Syndrome in a young Sri Lankan male with severe ulcerative colitis
title_short Concomitant Guillain–Barré Syndrome in a young Sri Lankan male with severe ulcerative colitis
title_sort concomitant guillain barre syndrome in a young sri lankan male with severe ulcerative colitis
topic Ulcerative colitis
Guillain–Barré Syndrome
Acute Motor Axonal Neuropathy
Inflammatory bowel disease
Case report
url https://doi.org/10.1186/s12876-022-02455-y
work_keys_str_mv AT jayasundaramudiyanselagehishalidahamijayasundara concomitantguillainbarresyndromeinayoungsrilankanmalewithsevereulcerativecolitis
AT vajiratharangasamarawickrama concomitantguillainbarresyndromeinayoungsrilankanmalewithsevereulcerativecolitis
AT ranjithpeiris concomitantguillainbarresyndromeinayoungsrilankanmalewithsevereulcerativecolitis
AT tilanaponso concomitantguillainbarresyndromeinayoungsrilankanmalewithsevereulcerativecolitis
AT danushiabeynayake concomitantguillainbarresyndromeinayoungsrilankanmalewithsevereulcerativecolitis